New Customer Application Form

New Customer Registration

Register your business
User Information
Full Name:*

First NameLast Name
E-mail:*
example@example.com
Contact Phone Number:*
I agree to receive SMS/TEXT based on my data.Format: (000) 000-0000.
Company Information
Business Name:*
Company Address: *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Tax ID Number:*
Type of Business:*

Retail (Brick and Mortar)WholesaleBinstoreExportEcommerceLive Selling (Whatnot, eBay, Tik Tok)AuctionsNon ProfitOther
How often do you purchase full truckloads?*

Weekly or multiple per week1-3 per monthA few per yearThis would be my first truckload
What types of merchandise are you interested in? Please select all that apply.*

General MerchandiseHigh Piece CountClothing & ApparelTools & HardwareFurnitureGroceryAppliancesOther
Product Mix Desired

Mixed (High Variety)Single SKU (Very Low Variety)Low SKU (Low Variety)Other
Conditions Accepted

MixedBrand NewReturnsOther
Looking for something specific? Add your wishlist here (products, brands, special requests).
Describe your business in 1-2 short sentences. (This will help match you with inventory)
State Issued Resale Tax Certificate:

You must provide a state-sanctioned resale certificate that confirms your company's exemption from sales tax on purchases. Different states may label this as "Sales & Use Tax Certificate of Exemption," "Resale Exemption Certificate," "Certificate of Resale," and so forth. Be aware that Select Liquidation is not liable for any sales tax related to products your company sells to customers or to any businesses to which you resell the product.
Cancelof
The contract can be accessed by clicking the link provided above. Please take the time to read it, as it outlines the risks associated with purchasing liquidation merchandise.
I hereby attest to the accuracy of all information furnished and formally acknowledge my agreement to the terms and conditions delineated in the preceding agreement.
Should be Empty:

New Customer Registration

User Information

Company Information